1. Are you at least 18 years of age?
2. Are you a citizen of the United States?
3. Are you an alien who is illegally residing within the United States?
4. Have you ever had a previous license to conduct security guard business or private investigation business?
5. Have you ever been declared incompetent by reason of mental defect or disease by any court of competent jurisdiction unless court has subsequently determined that the applicants competency has been restored?
6. Do you suffer from habitual drunkenness or from narcotics addiction or dependence?
7. Are you of good moral character?
8. Have you ever been arrested/convicted of a felony in this state or any other state or territory?
9. Do you have mine safety training?
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10. Illegally using, carrying or possessing a pistol or other dangerous weapon?
11. Buying or receiving stolen property?
12. Entering a building unlawfully?
13. Possessing or distributing illicit drugs?
14. Had any misdemeanor for which dishonesty of character was a necessary element?

I,

, do swear/confirm that the above answers given

are true and correct. I understand responses given are subject to verification by Cramer Security and Investigations, Inc.

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Thanks for submitting!

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